Individual
WHITNEY WOLFE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 LYNN ST, LEBANON, MO 65536-3800
(417) 532-7166
Mailing address
140 RIDGEVIEW DR, SAINT ROBERT, MO 65584-8614
(865) 621-3116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021021380
MO
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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